Organization Active NPI

Fleming Kirk, LLC

  • Optometrist
  • Troy, AL
National Provider Identifier
1821138413
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S853TA409 Issued in AL
Legal business name
FLEMING KIRK, LLC
Practice address
97 Oak Park Drive
Troy, AL 36079
Phone
(334) 403-0627
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Shanna Fleming Kirk, OD
Title
Owner
Phone
(334) 403-0627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X S853TA409 AL Primary

Addresses

Primary practice location

97 Oak Park Drive
Troy, AL 36079

Mailing address

97 Oak Park Dr
Troy, AL 36079-3081
Phone (334) 566-7172

Other identifiers 1

IdentifierTypeStateIssuer
1487622932OtherALINDIV NPI

Other names 1

  • Troy Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

121 Scouting Cir
Troy, AL 36081
Phone (334) 566-4357

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1821138413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 OAK PARK DR",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360793081",
            "telephone_number": "334-566-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 OAK PARK DRIVE",
            "city": "TROY",
            "state": "AL",
            "postal_code": "36079",
            "telephone_number": "334-403-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEMING KIRK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_middle_name": "FLEMING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-403-0627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S853TA409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIV NPI",
            "identifier": "1487622932",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Troy Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.